Reconstruction of Head and Neck Defects: A Systematic Approach to Treatment

Deepak Kademani; Samir Mardini; Steven L. Moran

doi:10.1055/s-2008-1081398

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2008; 22(3): 141-155
DOI: 10.1055/s-2008-1081398

Reconstruction of Head and Neck Defects: A Systematic Approach to Treatment

Deepak Kademani¹ , Samir Mardini² , Steven L. Moran²

¹Division of Oral and Maxillofacial Surgery, University of Minnesota Medical Center, Minneapolis, Minnesota
²Plastic Surgery and Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

Abstract

ABSTRACT

Reconstruction of composite maxillofacial defects after tumor excision or trauma is difficult. The role of the reconstructive surgeon is to have a diverse armamentarium of reconstructive options to enable an aesthetic and functional reconstruction while minimizing the morbidity to the patient. This article will present a systematic review of composite maxillofacial reconstruction with free tissue transfer.

KEYWORDS

Reconstruction - maxilla - mandible - osteocutaneous free flaps

Full Text

References

REFERENCES

1 Gilbert A. Vascularized transfer of the fibula shaft. Int J Microsurg. 1979; 1 100
2 Gilbert A, Teot L. The free scapular flap. Plast Reconstr Surg. 1982; 69 601-604
3 Hidalgo D. Fibula free flap; a new method of mandible reconstruction. Plast Reconstr Surg. 1989; 84 71-79
4 Manchester W. Immediate reconstruction of the mandible and the TMJ. Br J Plast Surg. 1965; 18 291-303
5 Taylor G, Miller D FJH. The free vascularized bone graft: a clinical extension of microvascular techniques. Plast Reconstr Surg. 1975; 55 533-544
6 Urken M. Composite free flaps in oromandibular reconstruction; a review of the literature. Arch Otolaryngol Head Neck Surg. 1991; 117 724-732
7 Wei F, Chen H, Chuang C, Nordroff M. Fibular osteocutaneous flap: anatomic study and clinical application. Plast Reconstr Surg. 1986; 78 191-200
8 Kademani D, Keller E. Iliac crest grafting for mandibular reconstruction. Atlas Oral Maxillofac Surg Clin North Am. 2006; 14 161-170
9 Brown J S. Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect. Head Neck. 1996; 18 412-421
10 Wei F, Seah C, Tsai Y, Liu S. Fibula osetoseptocutaneous flap for reconstruction of composite mandibular defects. Plast Reconstr Surg. 1994; 93 294-304
11 Chopra S, Enepekides D J. The role of distraction osteogenesis in mandibular reconstruction. Curr Opin Otolaryngol Head Neck Surg. 2007; 15 197-201
12 Eski M, Turegun M, Deveci M, Gokce H S, Sengezer M. Vertical distraction osteogenesis of fibular bone flap in reconstructed mandible. Ann Plast Surg. 2006; 57 631-636
13 Friedrich R E, Schmelzle R. Distraction osteogenesis of a fibula free flap used for mandibular reconstruction: preliminary report Sergio Siciliano, Benoit Lengere, Henre Reychler. , [comment] J Craniomaxillofac Surg. 1999; 27 398
14 Kessler P, Schultze-Mosgau S, Neukam F W, Wiltfang J. Lengthening of the reconstructed mandible using extraoral distraction devices: report of five cases. Plast Reconstr Surg. 2003; 111 1400-1404 discussion 1405-1406
15 Klesper B, Lazar F, Siessegger M, Hidding J, Zoller J E. Vertical distraction osteogenesis of fibula transplants for mandibular reconstruction—a preliminary study. J Craniomaxillofac Surg. 2002; 30 280-285
16 Levin L, Carrasco L, Kazemi A, Chalian A. Enhancement of the fibula free flap by alveolar distraction for dental implant restoration: report of a case. Facial Plast Surg. 2003; 19 87-94
17 Marchetti C, Degidi M, Scarano A, Piattelli A. Vertical distraction osteogenesis of fibular free flap in mandibular prosthetic rehabilitation: a case report. Int J Periodontics Restorative Dent. 2002; 22 251-257
18 Mehta R P, Deschler D G. Mandibular reconstruction in 2004: an analysis of different techniques. Curr Opin Otolaryngol Head Neck Surg. 2004; 12 288-293
19 Ortakoglu K, Suer B T, Ozyigit A, Ozen T, Sencimen M. Vertical distraction osteogenesis of fibula transplant for mandibular reconstruction: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102 e8-e11
20 Siciliano S, Lengele B, Reychler H. Distraction osteogenesis of a fibula free flap used for mandibular reconstruction: preliminary report. , [see comment] J Craniomaxillofac Surg. 1998; 26 386-390
21 Zhang C, Zhang Z. Reconstruction of mandible with fibular flap and dental implant distractor: a new approach. Chin Med J (Engl). 2002; 115 1877-1880
22 Bianchi B, Ferrari S, Poli T, Bertolini F, Raho T, Sesenna E. Oromandibular reconstruction with simultaneous free flaps: experience on 10 cases. Acta Otorhinolaryngol Ital. 2003; 23 281-290
23 Chen H C, Demirkan F, Wei F C, Cheng S L, Cheng M H, Chen I H. Free fibula osteoseptocutaneous-pedicled pectoralis major myocutaneous flap combination in reconstruction of extensive composite mandibular defects. Plast Reconstr Surg. 1999; 103 839-845
24 Demirkan F, Wei F C, Chen H C, Chen I H, Liao C T. Oromandibular reconstruction using a third free flap in sequence in recurrent carcinoma. Br J Plast Surg. 1999; 52 429-433
25 Jeng S F, Kuo Y R, Wei F C, Su C Y, Chien C Y. Reconstruction of extensive composite mandibular defects with large lip involvement by using double free flaps and fascia lata grafts for oral sphincters. Plast Reconstr Surg. 2005; 115 1830-1836
26 Kuzon Jr W M, Jejurikar S, Wilkins E G, Swartz W M. Double free-flap reconstruction of massive defects involving the lip, chin, and mandible. Microsurgery. 1998; 18 372-378
27 Posch N A, Mureau M A, Dumans A G, Hofer S O. Functional and aesthetic outcome and survival after double free flap reconstruction in advanced head and neck cancer patients. Plast Reconstr Surg. 2007; 120 124-129
28 Wei F C, Demirkan F, Chen H C, Chen I H. Double free flaps in reconstruction of extensive composite mandibular defects in head and neck cancer. Plast Reconstr Surg. 1999; 103 39-47
29 Schoning H, Emshoff R. Primary temporary AO plate reconstruction of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 86 667-672
30 Hidalgo D A. Titanium miniplate fixation in free flap mandible reconstruction. Ann Plast Surg. 1989; 23 498-507
31 Hidalgo D A. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg. 1989; 84 71-79
32 Hidalgo D A. Condyle transplantation in free flap mandible reconstruction. Plast Reconstr Surg. 1994; 93 770-781 discussion 782-773
33 Shah J P, Haribhakti V, Loree T, Sutaria P. Complication of the pectoralis major myocutaneous flap in head and neck reconstruction. Am J Surg. 1990; 160 352-355
34 Soutar D S, Scheker L, Tanner N, McGregor I. The radial forearm free flap: a versatile method for intraoral reconstruction. Br J Plast Surg. 1983; 36 1-8
35 Disa J J, Pusic A L, Hidalgo D H, Cordeiro P G. Simplifying microvascular head and neck reconstruction: a rational approach to donor site selection. , [see comment] Ann Plast Surg. 2001; 47 385-389
36 Futran N D, Haller J R. Considerations for free-flap reconstruction of the hard palate. Arch Otolaryngol Head Neck Surg. 1999; 125 665-669
37 Kademani D, Moran S. Medial femoral periosteal free flap. A novel method of maxillary reconstruction. Int. J Oral Maxillofac Surg. 2007; 36 1057

Deepak KademaniD.M.D. M.D. F.A.C.S.

Division of Oral and Maxillofacial Surgery University of Minnesota Medical Center

Moosetower 7-174G, 515 Delar Street, Minn. MN 5545